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Exam (elaborations)

NRCME Test Bank Exam Questions with 100% Correct Answers

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NRCME Test Bank Exam Questions with 100% Correct Answers Which of the following is a requirement for drivers with a diabetes exemption? A) Possess a rapidly absorbable form of glucose while driving B) Self—monitor blood glucose one hour before driving and at least once every 2 hours while d...

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  • October 25, 2024
  • 86
  • 2024/2025
  • Exam (elaborations)
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  • Nrcme
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JOSHCLAY
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
NRCME Test Bank Exam Questions with

100% Correct Answers


Which of the following is a requirement for drivers with a diabetes

exemption?

A) Possess a rapidly absorbable form of glucose while driving

B) Self—monitor blood glucose one hour before driving and at least once

every 2 hours while driving

C) Plan to submit blood glucose monitoring logs every 6 months

D) Maintain a Hemoglobin A1C value less than 7 - ✔✔A. Drivers with

diabetes should self monitor blood glucose before driving and every 4

hours while driving. Blood glucose monitoring logs should be submitted

annually. There is no specific requirement for HgA1C level.

Drivers with insulin dependent diabetes:

A) May be certified for a maximum of 6 months

B) Must maintain a hemoglobin A1C level of less than 7 to qualify for

certification

C) Cannot be certified if they have a history of myocardial infarction

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
D) May be eligible for a diabetes exemption - ✔✔D) Drivers with insulin

dependent diabetes cannot be certified but may be eligible for a diabetes

exemption

Which of the following is true?

A) A driver with diabetes who uses insulin does not meet the minimum

requirements of 49 CFR Part 391.41

B) The most important concert related to medication use for treating

diabetes is hyperglycemia

C) Peripheral neuropathy is not a disqualifying condition

D) Diabetes is not a coronary heart disease (CHD) equivalent condition -

✔✔A) The greatest risk for medication use for drivers with diabetes in

hypoglycemia, not hyperglycemia. Peripheral neuropathy is disqualifying

condition. Diabetes is a CHD equivalent condition.

What is the recommended certification interval for a driver with diabetes

mellituse who does not use insulin?

A) Three months

B) Six months

C) One year

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
D) Two years - ✔✔C) Drivers with non-insulin dependent diabetes should

be certified for a maximum of one year

A diabetes exemption may be issued by:

A) An endocrinologist

B) The Medical Examiner

C) The driver's personal physician

D) The FMCSA - ✔✔D) Only the FMCSA can grant exemptions

A driver with diabetes mellliktus who uses insulin is determined to be

otherwise medically qualified. The medical examiner must indicate that a

diabetes exemption is required on the :

A) Medical Examination Report status section and Medical Examiners

Certificate

B) Letter to the FMCSA

C) Employer authorization form

D) Endocrinology consultation form - ✔✔A) Exemption requirements must

be noted on the Medical Examination Report status section and the

Medical Examiners Certificate

If glucose is detected on urinalysis in a driver with no history of diabetes, an

appropriate next step is:

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
A) Endocrinology consultation

B) One year clearance and recommendation to see personal physician

C) Fingerstick or blood glucose determination

D) Temporary disqualification - ✔✔C) The medical examiner should first

determine blood glucose and then make an appropriate certification

determination and referral

Drivers with a history of _____________ severe hypoglycemic reactions in

the past year or _____________ severe hypoglycemic reactions in the past

five years should not be certifed.

A) one, three

B) one, two

C) two, three

D) two, five - ✔✔B) A driver should not be certified if the driver has had one

hypoglycemic reaction in the past year or two in the past five years.

Which of the following is not a criteria that the FMCSA uses to define a

severe hypoglycemic reaction?

A) Seizure

B) Dizziness

C) Need of assistance from another person

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